Whalio Doctors

NPI 1104801208

John Mark Maddox, MD

Practitioner Colon & Rectal Surgery Physician Tacoma, WA

Practice location

Address
1145 Broadway STE 300, Tacoma, WA 98402-3523
Phone
(253) 403-1130

Registered specialties (5)

Colon & Rectal Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence MD60662688 (WA)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 133071 (CA)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD24744 (OR)
Colon & Rectal Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 133071 (CA)
Colon & Rectal Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence MD24744 (OR)

Registry record

NPI
1104801208
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Dec 2005
Record last updated
7 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.